FDA-filed SPL labeling · retrieved through openFDA

Bepotastine Ophthalmic

Bepotastine ophthalmic is an antihistamine eye drop used to relieve itching caused by allergic conjunctivitis (eye allergies).

Brand names BepreveBepotastine BesilateBepotastine Besilate Ophthalmic Solution 1.5%
Drug class Histamine-1 Receptor Antagonist
Rx Form 1 Route Ophthalmic
Dr. Brian Staiger, PharmD, BCPS
Reviewed by Last reviewed Jul 10, 2026
🧬 Where this information comes from Click to expand

The clinical label records used on this page are FDA-filed Structured Product Labeling (SPL) retrieved through openFDA. We identified 7 clinical label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. Forms, routes, brands, labelers, strengths, and NDC product-record counts are built separately from matching FDA National Drug Code Directory records. The linked DailyMed document is a representative official source for verification, not the page’s only clinical source. View the linked label on DailyMed →

At a glance
Linked label effectiveAug 20, 2024
Clinical labels in scope 7
AvailabilityRx
Earliest approval/marketing year 2009
FDA-listed product records 11
Boxed warningNone found in compared labels
How we combine label and product data →
No current FDA shortage listed · checked Sep 23, 2026
Bepotastine Ophthalmic at a glance The quick version — the full detail is in the Patient Information Guide below.
💊
HelloPharmacist Editorial Team Bottom Line
Bepotastine Besilate Ophthalmic Solution is a twice-daily antihistamine eye drop that relieves itching from allergic conjunctivitis by blocking histamine in the eye. A mild taste after instillation is the most commonly reported side effect. Always remove contact lenses before use and wait 10 minutes before putting them back in.

📖 Bepotastine Ophthalmic: Patient Information Guide

A plain-language walkthrough of Bepotastine Ophthalmic — what it treats, how it works, how it’s taken, side effects, warnings and interactions. Tap any section to expand it.

🎯What it's used for

Bepotastine ophthalmic solution is an antihistamine eye drop approved to treat eye allergy symptoms.

  • Bepotastine Besilate Ophthalmic Solution 1.5% is indicated for the treatment of itching associated with the signs and symptoms of allergic conjunctivitis (eye allergies caused by allergens such as pollen, dust, or pet dander).
⚙️How it works

Bepotastine is a topically acting antihistamine — it works directly in the eye. It blocks H1 receptors, which are the sites histamine binds to in order to trigger itching and irritation. It also helps prevent mast cells (immune cells in the eye tissue) from releasing histamine in the first place. By working on both steps, it reduces allergic eye itch at the source rather than just masking symptoms.

💊How it's taken

Bepotastine Besilate Ophthalmic Solution is given as one drop into the affected eye or eyes twice a day. Always remove contact lenses before instilling the drops and wait at least 10 minutes before reinserting them.

  • Apply to the affected eye(s) only — or both eyes, as directed by your prescriber.
  • Do not use while wearing contact lenses.
  • Follow your prescriber's instructions for how long to continue treatment.
🤒Side effects — in detail

Most people tolerate bepotastine eye drops well. The most commonly reported side effects include:

  • A mild taste in the mouth after putting in the drops — this happens in about 1 in 4 people and is generally harmless.
  • Eye irritation
  • Headache
  • Nasopharyngitis (runny nose or mild throat irritation)

Rarely, serious hypersensitivity reactions (allergic reactions) have been reported. Seek immediate medical attention if you develop itching, a body rash, or swelling of the lips, tongue, or throat after using this medication.

⚠️Warnings & precautions
  • Bottle contamination: Never touch the dropper tip to your eye, eyelid, or any surface. Keep the cap on tightly when not in use. A contaminated dropper can introduce bacteria and cause an eye infection.
  • Contact lens wearers: Remove soft contact lenses before using the drops. The preservative benzalkonium chloride can be absorbed into soft lenses. Wait at least 10 minutes after using the drops before reinserting your lenses.
  • Not for contact lens irritation: This product is intended for allergic conjunctivitis, not for irritation caused by contact lenses themselves.
  • Hypersensitivity: Rare but serious allergic reactions have been reported. Stop use and get medical help right away if you notice itching, rash, or swelling of the mouth, lips, or throat.
🔀What it interacts with

Based on available data, bepotastine eye drops have a low potential for drug interactions when used as eye drops, as very little of the medication enters the bloodstream.

  • Bepotastine is minimally processed by the liver's CYP450 enzyme system, meaning it is unlikely to meaningfully affect how most other medications are metabolized.
  • Always tell your doctor and pharmacist about all medications, vitamins, and supplements you take, as individual situations can vary.

This is not a complete list of interactions. Always talk with your doctor or pharmacist before starting, stopping, or changing any medication.

📋Before taking it
  • Allergy to bepotastine or any ingredient: Do not use if you have had a prior allergic reaction to this product.
  • Pregnancy: There are no human safety data for use during pregnancy. Talk to your doctor about the risks and benefits before using.
  • Breastfeeding: It is not known whether bepotastine passes into human breast milk when used as an eye drop. Discuss with your doctor before using.
  • Children under 2 years: Safety and effectiveness have not been established in this age group.
  • Children 2–10 years: Effectiveness data in this age group was extrapolated from older children and adults, not studied directly.
  • Older adults: No meaningful differences in safety or effectiveness have been observed compared to younger patients.
  • Contact lens wearers: Remove lenses before use and wait 10 minutes before reinserting.
🔬Pharmacokinetics — how your body processes it

After putting bepotastine eye drops in both eyes, a small amount is absorbed into the bloodstream, peaking about 1 to 2 hours after instillation. Blood levels drop quickly and are essentially undetectable by 24 hours after the dose in nearly all people studied. The drug is about 55% bound to proteins in the blood and is minimally broken down by the liver. Roughly 75–90% of absorbed bepotastine is eliminated from the body unchanged through the urine.

📦How to store it

Store at 15° to 25°C (59° to 77°F).

📄 Written from Bepotastine Ophthalmic’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Every point is grounded in that labeling — nothing is invented. How we use AI →

🩺 Pharmacist Counseling Corner

Quick, plain-English answers to the questions patients ask most about Bepotastine Ophthalmic — the kind of thing our pharmacy team would talk through with you at the counter.

What exactly is this eye drop supposed to do?
It's designed to stop the itching that comes with eye allergies — what doctors call allergic conjunctivitis. It works by blocking histamine, the chemical your immune system releases when it overreacts to things like pollen or pet dander. It targets that reaction right in the eye, so relief is local and fast-acting.
Why do I taste something weird after I put in the drops?
That mild taste after instillation is actually the most common side effect — about 1 in 4 people notice it. It happens because a tiny amount of the drop drains from the eye into the back of your throat through the tear duct. It's harmless and usually fades quickly. It doesn't mean something went wrong.
Can I put the drops in while I'm wearing my contact lenses?
No — you need to take your lenses out first. The drops contain a preservative called benzalkonium chloride that can be soaked up by soft contact lenses, which isn't good for your eyes. Wait at least 10 minutes after using the drops before you put your lenses back in. Also, these drops aren't meant to treat irritation caused by the lenses themselves.
What side effects should I actually be worried about?
Most side effects are mild — the taste, some eye irritation, a headache, or a runny nose. The one thing to take seriously is a rare allergic reaction. If you notice itching all over, a skin rash, or swelling of your lips, tongue, or throat after using the drops, stop using them and get medical help right away. That's uncommon, but it's important to know.
Is it safe to use during pregnancy or while breastfeeding?
There aren't any human safety studies for this eye drop during pregnancy or breastfeeding, so we don't have a clear answer either way. The amount that gets into your bloodstream from eye drops is very small, but it's still something to discuss with your doctor or OB before using it — they can help weigh the benefits against any potential concerns for you and your baby.
How do I keep the drops from getting contaminated?
The key is keeping the dropper tip clean. Never let it touch your eye, your eyelid, or any other surface — including your fingers. After each use, put the cap back on tightly. If the tip gets contaminated, bacteria can get into the bottle and potentially cause an eye infection, so this is worth being careful about.
Is Bepotastine Ophthalmic available over the counter?
Bepotastine Ophthalmic is dispensed by prescription according to its FDA labeling, so it isn't sold over the counter. Your prescriber and pharmacist will determine if it's appropriate for you.
When was Bepotastine Ophthalmic first available?
Bepotastine Ophthalmic has been available in the United States since at least 2009, based on FDA approval history (Drugs@FDA) and product marketing records.
Who makes Bepotastine Ophthalmic?
Bepotastine Ophthalmic is supplied by 7 manufacturers listed in the FDA NDC Directory, including Bausch & Lomb Americas Inc., Bausch & Lomb Incorporated, Mylan Pharmaceuticals Inc..

💬 Answers drafted from Bepotastine Ophthalmic’s FDA-approved label information, summarized in plain language with AI, and reviewed by our pharmacy team before publication. Grounded in that labeling — nothing is made up. How we use AI →

🧰 Keep exploring

💊 How Bepotastine Ophthalmic comes

Bepotastine Ophthalmic is available in 1 form. Different forms and brands can have different approved uses, doses, schedules, and directions. Follow the instructions for your exact product, and do not switch forms without guidance from your prescriber or pharmacist.

Eye drops

In the eye
Brands Bepotastine Besilate Bepotastine Besilate Ophthalmic Solution 1.5% Bepreve
How this form is used
What it may be used for
  • Bepotastine Besilate Ophthalmic Solution is used to treat itching associated with allergic conjunctivitis.
  • Bepotastine Besilate Ophthalmic Solution 1.5% is indicated for itching associated with the signs and symptoms of allergic conjunctivitis.
Important instructions
  • Bepotastine Besilate Ophthalmic Solution: instill one drop into the affected eye(s) twice a day.
  • Bepotastine Besilate Ophthalmic Solution: remove contact lenses before instilling the drops.
  • Bepotastine Besilate Ophthalmic Solution: wait at least 10 minutes after instillation before reinserting contact lenses.
  • Bepotastine Besilate Ophthalmic Solution: do not touch the dropper tip to your eye, eyelid, or any surface; keep the bottle tightly closed when not in use.
Available strengths 1 strength
11 FDA-listed product records

📊 Bepotastine Ophthalmic across the U.S. market

How Bepotastine Ophthalmic appears in the FDA’s National Drug Code Directory — including its dosage forms, strengths, brand names, manufacturers, and FDA-listed product records. These are directory records, not sales or prescription volume.

1
Dose forms
7
Manufacturers
3
Brand names
11
FDA-listed product records
2009
First marketed
Bausch & Lomb Americas Inc.18%
Bausch & Lomb Incorporated18%
Mylan Pharmaceuticals Inc.18%
Somerset Therapeutics, LLC18%
Alembic Pharmaceuticals Inc.9%
Alembic Pharmaceuticals Limited9%
Other makers9%

Share of FDA-listed product records by manufacturer — FDA National Drug Code Directory. Record counts are not sales or prescription volume.

📈 How widely Bepotastine Ophthalmic is used

A general measure of how commonly Bepotastine Ophthalmic is prescribed, based on Medicaid — one of the largest public drug programs. The figure below is prescriptions filled in Q1–Q4 2025, summed across every form and brand of the drug.

Think of this as a proxy for how widely Bepotastine Ophthalmic is used, drawn from freely available public data. Medicaid is just one program — these numbers don’t include Medicare, other government coverage, or commercial and cash-pay prescriptions, so real-world use is higher than what’s shown here.

10,088
Medicaid prescriptions filled (Q1–Q4 2025)
$1.2M gross Medicaid reimbursement (before mandatory rebates — net cost is lower)

How commonly is Bepotastine Ophthalmic prescribed? Of the 1,596 medications we measure, Bepotastine Ophthalmic ranks #934 by Medicaid prescriptions — more than 41% of them.

Where Bepotastine Ophthalmic ranks among the drugs we measure · Q1–Q4 2025 · neighbors ±5

Utilization by Bepotastine Ophthalmic product

Pick a product to see its own Medicaid numbers. Each chip is one clinical product — a specific strength & dosage form as defined by RxNorm — with brand-name and generic versions combined.

bepotastine besilate 15 MG/ML Ophthalmic Solution

10,088 Medicaid prescriptions (Q1–Q4 2025) 100% of Bepotastine Ophthalmic prescriptions shown $1.2M gross reimbursement (before rebates) ≈ $122 per prescription (gross)

Summed across the 11 of 17 listed NDC products with Medicaid activity — every brand and generic of this exact strength & form. RxNorm 863038

Shares are of the Medicaid prescriptions shown here. Product grouping follows RxNorm (the National Library of Medicine’s drug terminology), so “one product” means one strength & dosage form regardless of manufacturer. Dollar figures are gross Medicaid reimbursement before mandatory rebates — rebates (often large, especially for brand-name drugs) are confidential, so actual net cost to Medicaid is lower than shown.

Source: Medicaid State Drug Utilization Data (CMS), aggregated by generic ingredient — summed across every NDC (all brands, strengths, salt forms and dosage forms) of Bepotastine Ophthalmic, and across all states and both fee-for-service and managed-care claims. A general popularity signal; it excludes Medicare, commercial insurance and cash prescriptions, so it is not total U.S. use. Based on the 11 of 17 listed Bepotastine Ophthalmic NDCs with Medicaid activity.

🔍 Compare Bepotastine Ophthalmic products

A representative set of FDA-listed product records for Bepotastine Ophthalmic — across manufacturers, strengths, and dosage forms, grouped by form with each product’s manufacturer and how the FDA approved it. The same medicine may be made and packaged by different companies, so a single drug can have many directory entries. (It’s also why a refill can look different — a new shape, color, or box — even though it contains the same medication.)

Strength Route Manufacturer / Labeler Category Details
💊Eye drops
15 mg/mL Ophthalmic Alembic Pharmaceuticals Inc. ANDA View NDC →
15 mg/mL Ophthalmic Alembic Pharmaceuticals Limited ANDA View NDC →
15 mg/mL Ophthalmic Apotex Corp. ANDA View NDC →
15 mg/mL Ophthalmic Bausch & Lomb Americas Inc. × 2 listings NDA AUTHORIZED GENERIC View NDC →
15 mg/mL Ophthalmic Bausch & Lomb Incorporated NDA View NDC →
15 mg/mL Ophthalmic Bausch & Lomb Incorporated NDA AUTHORIZED GENERIC View NDC →
15 mg/mL Ophthalmic Mylan Pharmaceuticals Inc. × 2 listings ANDA View NDC →
15 mg/mL Ophthalmic Somerset Therapeutics, LLC × 2 listings ANDA View NDC →

Showing 11 of 11 products — FDA National Drug Code Directory. See every product, package size and price: browse all 11 Bepotastine Ophthalmic NDCs →

RxNorm Concept Web — From Ingredient to Every Form and Strength

This page starts with one ingredient concept (IN). The branches below show its dose-form concepts (SCDF), then the available clinical drug and strength concepts (SCD). Combination products remain separate concepts with their own pages.

Ingredient (IN) Bepotastine Ophthalmic RxCUI 863035 1 dose form · 1 strength
  1. Dose form (SCDF) Ophthalmic Solution RxCUI 863037 In current FDA listings
    Clinical drug / strength (SCD) besilate 15 MG/ML RxCUI 863038

Look up RxCUI 863035 in the RxCUI Atlas →

RxNorm is the U.S. National Library of Medicine’s normalized drug vocabulary. Its concept hierarchy can include forms that are not currently marketed; the status on each branch compares that concept with current FDA listings. RxCUIs identify vocabulary concepts, not individual packages or manufacturers.

🏷️ Sold under these brand names

Bepreve Bepotastine Besilate Bepotastine Besilate Ophthalmic Solution 1.5%

🏭 Manufacturers & labelers

Bausch & Lomb Americas Inc. 2 Bausch & Lomb Incorporated 2 Mylan Pharmaceuticals Inc. 2 Somerset Therapeutics, LLC 2 Alembic Pharmaceuticals Inc. 1 Alembic Pharmaceuticals Limited 1 Apotex Corp. 1

RxNorm drug class

Bepotastine Ophthalmic belongs to the Histamine-1 Receptor Antagonist class.

Pharmacologic class Histamine-1 Receptor Antagonist

Classified by RxNorm RxClass — the U.S. National Library of Medicine's standardized drug-classification service (Established Pharmacologic Class from the FDA, the ATC drug family from the WHO, and mechanism of action). Reference only, not medical advice.

🔬 Where this comes from

Core label, product, RxNorm, safety, and utilization data on this page come from the sources identified below. AI-written, editorial, and licensed sections are labeled separately.

📄
FDA-filed drug labels (SPL) Uses, dosing, warnings & side effects from SPL records retrieved through openFDA; the linked representative set can be verified on DailyMed. ✓ Linked label effective Aug 20, 2024
🏭
Forms, brands & labelersAggregated from ingredient-matched FDA National Drug Code Directory product records for Bepotastine Ophthalmic.
📈
Real-world reportsThe FDA Adverse Event Reporting System (FAERS), served through openFDA.
🚨
Recalls & shortagesopenFDA drug-enforcement reports and the FDA drug-shortage database.
🧾 Clinical label set — FDA-filed SPL labels retained for Bepotastine Ophthalmic after exact ingredient or ingredient-combination matching and applicable route/form matching
Clinical labels in scope
7
NDC products indexed
11
Distinct labelers/manufacturers represented
7
Linked representative label
Bausch & Lomb Americas Inc.
Linked label effective
Aug 20, 2024
Composite sections available
18
Linked SPL Set ID
70430ab5-cd0a-451e-acab-347a2f981898
Linked SPL Document ID
202287f2-01bc-1d43-e063-6294a90a8da1
Open the linked representative label on DailyMed ↗

How we combine label and product data

HelloPharmacist combines public FDA and NLM records; we don’t author the underlying clinical facts. We identified 7 FDA-filed SPL label sets within the page’s selected clinical scope after exact ingredient or ingredient-combination matching and applicable route/form matching. The representative label is the starting point for the displayed reference monograph; the 12 largest stored in-scope SPL records, which may include that representative, are compared section by section, and the longest available version of each section is retained. Forms, routes, brands, labelers, product-listed strengths, and product-record counts are aggregated separately from ingredient-matched FDA NDC Directory records; package records listed above are associated with the linked SPL; and the normalized concept hierarchy comes from NLM RxNorm.

Where a section is identified as AI-written, its plain-language text is generated from bounded label evidence. New draft drug pages remain in the admin review queue before first publication. Bausch & Lomb Americas Inc. is the representative DailyMed label linked for verification and dates; it is not the sole source used for the page.

This is general education, not medical advice — always consult your doctor or pharmacist about your medications and any medical condition. For the exact wording of the linked representative label, view that label on DailyMed; some displayed composite sections may come from other in-scope SPL labels. Learn how we use AI and our data sources & update cadence.